Outcomes of Medical versus Surgical Management of First Trimester Incomplete Abortion on Among Women Admitted at Kampala International University Teaching Hospital (KIU -TH)

victor tetty otieno0 个研究点目标入组 100 人开始时间: 2018年10月26日最近更新: 2023年5月29日

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•Women with first trimester incomplete abortion admitted in gynaecology ward who are;
•1. Hemodynamically stable with no signs of hypovolaemia or shock due to excessive bleeding.
•2. In first trimester of pregnancy with weeks of amenorrhea at =12 weeks.
•3. Having Per vaginal bleeding with retained products of conception suggestive of incomplete abortion.
•4. No contraindication for misoprostol use like allergy to prostaglandins and previous uterine scars.
•6. No major organ disease like renal, cardiovascular, nervous, liver, hematological or immunosuppressive disease.

•Women with evidence of infection: temperature <36 or >38 degrees Celsius, Pulse Rate >100, Respiratory rate >20 respirations/min
•2 .Women with structural uterine abnormalities like unicornuate or bicornuate uterus and uterine septum.
•3. Women with previous fresh uterine scars (less than 18 months) since they are at increased risk of uterine rupture
•4. Patients with =2 previous scars as this increases the risk of uterine rupture.
•5. Patients with more than three abortions as this would alter the findings on satisfaction and secondary outcomes.

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victor tetty otieno